Abstract:
BACKGROUND:There are no sufficient data available on the use of febuxostat in patients undergoing dialysis. AIM:We investigated the efficacy and tolerability of febuxostat in gout patients on dialysis. METHODS:We retrospectively reviewed clinical and laboratory data available from a referral center from January 2012 to December 2018. We included gout patients who initiated febuxostat during dialysis. Data regarding serum uric acid levels before and after the febuxostat treatment and clinical information such as gout attack after febuxostat initiation, as well as adverse events involving febuxostat treatment, were obtained from medical records. RESULTS:Among 62 patients who were treated with febuxostat for over three months, 45 were undergoing hemodialysis (HD) and 17 were undergoing peritoneal dialysis (PD). The mean serum uric acid level was significantly reduced three months after treatment (3.71 ± 1.32 mg/dL) compared with that at the pretreatment level (9.36 ± 2.06 mg/dL) (p<0.001). The serum uric acid level was observed to be significantly reduced at three months in both HD and PD patients and subsequently remained at a significantly reduced level for 12 months. Of the 62 patients, only 2 stopped febuxostat due to its adverse effects. Initial dose of 80 mg per day was associated with higher adverse events compared to dose of 20-40 mg per day (OR=8.25, 95% CI=1.90-35.97, p=0.006). CONCLUSIONS:Febuxostat is efficacious and well-tolerated in gout patients on dialysis. Febuxostat taken at dose of 20-40 mg per day might be appropriate initial dose in patients undergoing dialysis. This article is protected by copyright. All rights reserved.
journal_name
Intern Med Jjournal_title
Internal medicine journalauthors
Choi SY,Choi SW,Lee S,So MW,Oh JS,Lim DHdoi
10.1111/imj.14776subject
Has Abstractpub_date
2020-02-11 00:00:00eissn
1444-0903issn
1445-5994pub_type
杂志文章abstract::Inappropriate polypharmacy and its associated harm pose a significant threat to older patients. The prescribing decisions of physicians greatly influence what other practitioners prescribe. Minimising medication-related harm requires physicians to adopt a systematic approach to the deliberate and judicious deprescribi...
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pub_type: 杂志文章
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